PIAA Forms

All students who wish to participate in the Athletics Program at Villa Joseph Marie must submit SECTION 6 of the PIAA Comprehensive Initial Pre-Participation Physical Evaluation (CIPPE) from the Pennsylvania Interscholastic Athletic Association (PIAA).

No prospective student-athlete may participate in tryouts/practices/contests until the proper CIPPE form is completed and handed in—NO EXCEPTIONS WILL BE MADE.

  • *Please note—The PIAA Comprehensive Initial Pre-Participation Evaluation forms are NOT the same forms as those required for all new students entering Villa.*
  • SECTION 6 must be completed by an Authorized Medical Examiner (AME).
  • **Also note--Section 6 of the CIPPE evaluation must be conducted and dated on or after June 1, 2017 in order for the evaluation to be deemed valid by the PIAA
  • The SECTION 6 form must be the most up-to-date version (Revised: March 17, 2016). A link to the correct/acceptable form is below.

 To print the documents, please click on the desired link below:

CIPPE SECTION 6 

CIPPE SECTION 7 (only for Winter or Spring seasons if you participated in a Fall sport)

CIPPE SECTION 8 (only for Winter or Spring seasons if you sustained an injury or serious illness that required medical attention. It must be submitted with section 7)

 

 

 

 

 

Athletics Office

Becky Flynn Hensel
Athletic Director
215-357-8810 ext. 125
VJMAthletics@vjmhs.org

Marissa Brown
Athletic Scheduling Coordinator
215-357-8810 ext. 198
mbrown@vjmhs.org

Amy Barr
Trainer/Game Day Manager
215-357-8810 ext. 222
abarr@vjmhs.org

Villa Joseph Marie High School

1180 Holland Road, Holland, PA 18966

215-357-8810

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